Sinonimi: Morbus Dupuytren, Dupuytren's disease or palmar fibromatosis
This is a fixation of a finger or fingers of the hand in a flexed position, without the ability to extend them.
How does it develop?
It’s not exactly known as to why and how it develops.
What is known is that small lumps form on the palmar fascia, that they start to appear after the age of 40, and that the number of them increases in time, and with that, the number of affected fingers. It’s also known that it occurs more frequently in manual workers.
Sometimes, the development is associated with previous hand trauma .
Symptoms and signs
It starts with the appearance of subdermal thickenings in the palm. There are no problems with functionality of the fingers at this stage, so patients tend to ignore it.
After some time, subdermal bands become noticeable, in the form of strings, it’s at this time that fingers start to flex towards the palm, but there is still preserved function.
This flexing of the fingers begins to worsen, and gets to a stage when they are fully flexed towards the palm. The fingers can no longer be extended. The functionality of the hand is greatly reduced at this stage.
All of this can be accompanied by pain (almost insignificant) and some discomfort during movement .
How is it diagnosed?
By clinical examination and a function test of all fingers.
How is it treated?
When there are no functional hindrances in every day manual labour, then no treatment is required.
When hindrance and/or discomfort occurs, it can be treated by:
Non – surgical methods
- Injection treatment
- Radiation therapy